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Opening of Bids - Ironwood Dr Sidewalk Edison Road to SR 23 Project No 117-033A - Walsh & Kelly Inc
�pt1 T Fj �F CITY OF SOUTH BEND, INDIANA CONTRACTOR'S BID FOR PUBLIC WORK A, r��5` '•. ': CHECKLIST FOR BIDDERS Project Name Ironwood Drive Sidewalk Edison Road to S.R. 23 Project No. 117-033A For Bids Due December 12, 2017 From time to time the South Bend Board of Public Works finds it necessary to reject a bid because it does not comply with statutory requirements. In preparing your bid, please use the following checklist in order to make sure that your bid is done in the proper manner. Proper bid security included. The bidder has the option of providing either a Certified Check X or Bid Bond. Bid prepared on the City of South Bend Contractor's Bid for Public Work Form, completely X executed. Contractor's Non-Colfusion and Non -Debarment Affidavit, Certification Regarding Investments with Iran, Employment Eligibility Verification, Non -Discrimination Commitment, and X Certification of use of United States Steel Products or Foundry Products. Proof of MBEIWBE Participation Goal Form [MWBE-1.0]. If minimum participation goal is not met, also provide Evidence of Good Faith Efforts Form [MWBE-2.01 and MBEMBE Contacted X Form [MWBE-2.1]. X Acknowledge Receipt of 2 Addendum(s) included with the bid. X Ali required additional information is included with the bid. Proposal statements and other affidavits all signed by the proper party with name either X printed or typed underneath signature. x This checklist submitted with the Bid. This checklist is provided for bidder's use in assuring compliance with required documentation; however, it does noude all specifications requirements and does not relieve the bidder of the need to re#d an�omply wj* the specifications. Bidder: WalsF By Authorized Signature: Print Name & Version 10/1712016 Date: 12/12/17 use ative: © in Hilary, South Bend Area Manager P��� Contractor's Bid for Public Works - 1 Date: Address: CG CITY OF SOUTH BEND, INDIANA `s` CONTRACTOR'S BID FOR PUBLIC WORK k Project Name Ironwood Drive Sidewalk Edison Road to S.R. 23 Project No, 117-033A For Bids Due December 12, 2017 PART (Must be completed for all bids. Please type or print) 12/12/17 Bidder (Firm): Walsh & Kelly, Inc. 24358 SR 23 City/State/Zip: South Bend, IN 46614 Telephone Number: ( 574 ) 288-4811 Agent of Bidder (if Applicable): Pursuant to notices given, the undersigned offers to furnish labor and/or material necessary to complete the public works project of: Boad of Public Works - Ironwood Drive Sidewalk, Edison Road to S.R. 23 - Project No. 117-033A the City of South Bend, Indiana, in accordance with plans and specifications prepared by: Abonmarche Consultants. Inc. and dated December 2017 for the sum of (enter the Total Bid as shown on the Proposal) One hundred ei ht two thousand nine hundred eighty forty dollars and fiftycents $ 182,984.50 (Enter sum of Total Base Bid plus Alternates shown on Proposal) (Numerical) The undersigned further agrees to furnish a bond or certified check with this bid for an amount specified in the notice of the letting. If alternative bids apply, the undersigned sub its a proposal for each in accordance with the notice. Any addendums attached will be specifically ref ed at the applicable page. If additional units of �dsi ai` uded in the contract are rj ede the cast of unit ust be the same as that shown in the oria�aioyit pcepted by the City f So Bend. lfe b' is to be awarded on a unit basis, the itemi tin esf°th�°a ts�s,A� be shown on se rate attachnhen Q VPORATF ^ !3y ustin Hi 6(c"CEPTANCE The above bid is ���i��`®�® day of I814 Subject to the following conditions: BOARD OF PUBLIC WORKS Gary A. Gilot, President Elizabeth A. Maradik, Member Suzanna M. Fritzberg, Member Therese J. Dorau, Member James A. Mueller, Member Attest: Linda M. Martin, Clerk PART 11 Version 10/17/2016 Contractor's Bid for Public Works - 2 all (For projects of $100,000 or more — IC 36-1-12-4) These statements to be submitted under oath by each bidder with and as part of his bid. Attach additional pages for each section as needed. SECTION I EXPERIENCE QUESTIONNAIRE 1. Attach information regarding projects your organization has completed for the period of one (1) year prior to the date of the current bid. 2. Attach a listing of public works projects currently in process of construction by your organization. 3. Attach information regarding any failure to complete any work awarded to you and the location thereof. 4. Attach references from private firms for which you have performed work. SECTION li PLAN AND EQUIPMENT QUESTIONNAIRE 1. Attach an explanation of your plan or layout for performing proposed work. (Examples could include a narrative of when you could begin work, complete the project, number of workers, etc. and any other information which you believe would enable the City of South Bend to consider your bid.) 2. Attach a listing of the names and addresses of all subcontractors (i.e. persons or firms outside your own firm who have performed part of the work) that you have used on public works projects during the past five (5) years along with a brief description of the work done by each subcontractor. 3. If you intend to sublet any portion of the work, attach the name and address of each subcontractor, equipment to be used by the subcontractor, and whether you will require a bund. lrlo ve'vei , if 'vou are unable to currently provide a listincl, please understand ca 1I.Mii g must be provided prior to contract approval. Until the completion of the proposed project, you are under a continuing obligation to immediately notify the City of South Bend in the event that you subsequently determine that you will use a subcontractor on the proposed project. 4. Attach a listing of equipment you have available to use for the proposed project. Have you entered into contracts or received offers for all materials which substantiate the prices used in preparing your proposal? If not, attach an explanation for the rationale used which would corroborate the prices listed. SECTION ill CONTRACTOR'S FINANCIAL STATEMENT Attachment of bidder's financial statement is mandatory. Any bid submitted without said financial statement as required by statute shall thereby be rendered invalid. The financial statement provided hereunder to the City of South Bend awarding the contract must be specific enough in detail so that said City of South Bend can make a proper determination of the bidder's capability for completing the project if awarded. Version 10/17/2016 Contractor's Bid for Public Works - 3 /hen the prospective Contractor is unable to cert#yto any of the statements below, it shall attach an explanation to this Affidavit. CONTRACTOR'S NON -COLLUSION AND NON -DEBARMENT AFFIDAVIT, CERTIFICATION REGARDING INVESTMENT WITH IRAN, EMPLOYMENT ELIGIBILITY VERIFICATION, NON- DISCRIMINATION COMMITMENT AND CERTIFICATION OF USE OF UNITED STATES STEEL PRODUCTS OR FOUNDRY PRODUCTS (Must be completed for all quotes and bids. Please type or print) STATE OF Indiana ) ) SS: St. Joseph COUNTY } The undersigned Contractor, being duly sworn upon his/her/its oath, affirms under the penalties of perjury that: 1. Contractor has not, nor has any other member, representative, or agent of the firm, company, corporation or partnership represented by him, entered into any combination, collusion or agreement with any person relative to the price to be bid by anyone at such letting nor to prevent any person from bidding nor to induce anyone to refrain from bidding, and that this bid is made without reference to any other bid and without any agreement, understanding or combination with any other person in reference to such bidding. Contractor further says that no person or persons, firms, or corporation has, have or will receive directly or indirectly, any rebate, fee, gift, commission or thing of value on account of such sale; and 2. Contractor certifies by submission of this proposal that neither contractor nor any of its principals are presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from participation in this transaction by any Federal department or agency; and 3. Contractor has not, nor has any successor to, nor an affiliate of, Contractor, engaged in investment activities in Iran. a. For purposes of this Certification, "Iran" means the government of Iran and any agency or instrumentality of Iran, or as otherwise defined at Ind. Code § 5-22-16.5-5, as amended from time -to -time. b. As provided by Ind. Code § 5-22-I6.5-8, as amended from time -to -time, a Contractor is engaged in investment activities in Iran if either: Contractor, its successor or its affiliate, provides goods or services of twenty million dollars ($20,000,000) or more in value in the energy sector of Iran; or ii. Contractor, its successor or its affiliate, is a financial institution that extends twenty million dollars ($20,000,000) or more in credit to another person for forty-five (45) days or more, if that person will (i) use the credit to provides goods and services in the energy sector in Iran; and (ii) at the time the financial institution extends credit, is a person identified on list published by the Indiana Department of Administration. Version 10/1712016 Contractor's BEd for Public Works - 4 4. Contractor does not knowingly employ or contract with an unauthorized alien, nor retain any employee or contract with a person that the Contractor subsequently learns is an unauthorized alien. Contractor agrees that he/she/it shall enroll in and verify the work eligibility status of all of Contractor's newly hired employees through the E-Verify Program as defined by I.C. 22-5-1.7-3. Contractor's documentation of enrollment and participation in the E-Verify Program is included and attached as part of this bid/quote; and 5. Contractor shall require his/herlits subcontractors performing work under this public contract to certify that the subcontractors do not knowingly employ or contract with an unauthorized alien, nor retain any employee or contract with a person that the subcontractor subsequently learns is an unauthorized alien, and that the subcontractor has enrolled in and is participating in the E-Verify Program. The Contractor agrees to maintain this certification throughout the term of the contract with the City of South Bend, and understands that the City may terminate the contract for default if the Contractor fails to cure a breach of this provision no later than thirty (30) days after being notified by the City. 6. Persons, partnerships, corporations, associations, or joint venturers awarded a contract by the City of South Bend through its agencies, boards, or commissions shall not discriminate against any employee or applicant for employment in the performance of a City contract with respect to hire, tenure, terms, conditions, or privileges of employment, or any matter directly or indirectly related to employment because of race, sex, religion, color, national origin, ancestry, age, gender expression, gender identity, sexual orientation or disability that does not affect that person's ability to perform the work. In awarding contracts for the purchase of work, labor, services, supplies, equipment, materials, or any combination of the foregoing including, but not limited to, public works contracts awarded under public bidding laws or other contracts in which public bids are not required by law, the City, its agencies, boards, or commissions may consider the Contractor's good faith efforts to obtain participation by those Contractors certified by the State of Indiana as a Minority Business ("MBE") or as a Women's Business Enterprise ("WBE") as a factor in determining the lowest, responsible, responsive bidder. in no event shall persons or entities seeking the award of a City contract be required to award a subcontract to an MBE/WBE; however, it may not unlawfully discriminate against said WBEIMBE. A finding of a discriminatory practice by the City's MBEIWBE Utilization Board shall prohibit that person or entity from being awarded a City contract for a period of one (1) year from the date of such determination, and such determination may also he arounde for terminatinv the conmot fnr which the discriminatory practice or noncompliance pertains. T 7. The undersigned contractor agrees that the following nondiscrimination commitment shall be made a part of any contract which it may henceforth enter into with the City of South Bend, Indiana or any of its agencies, boards or commissions. Contractor agrees not to discriminate against or intimidate any employee or applicant for employment in the performance of this contract with privileges of employment, or any matter directly or indirectly related to employment, because of race, religion, color, sex, gender expression, gender identity, sexual orientation, handicap, national origin or ancestry. Breach of this provision may be regarded as material breach of contract. 1, the undersigned bidder or agent as contractor on a public works project, understand my statutory obligations to the use of steel products or foundry products made in the United States (I.C. 5-16-8-1).1 hereby certify that I and all subcontractors employed by me for this project will use steel products or foundry products made in the United States on this project if awarded. I understand I have an affirmative duty to notify the City in my bid that my proposal does not include the use of steel products or foundry products made in the United States. 1 understand it is my sole obligation and responsibility to provide a justification to the City, subject to review and approval, why the cost of United States made steel or foundry products is unreasonable. Prior to award and upon submission of bid which does not use steel products or foundry products made in the United States, the City, through its director of public works, shall make a determination if the price of United States made steel or foundry is unreasonable. I understand that violations hereunder Version 10/17/2016 Contractor's Bid for Public Works - 5 may result in forfeiture of contractual payments. I hereby affirm under the penalties of perjury that the facts and information contained in the foregoing bid for public works are true and correct. Dated this 12th day of Dec. , 2017 S��GG�3u;N�N yLb J �p1;P Q RA ° a � a o a! a F, ^� 1 H. of Contractor/Bidder or Its Agent Hilarv. South Bend Area Name and Title ` Subscribed and sworn to before me this 12th day of December 20 17 My Commission Expires 615122 Notarylru'bfil Alisha Krueger County of Residence St. Joseph ,\�tirttYlprr��� ALISHA KRUEGER Notary Public, State of Indiana St. Josoph county '-;�;•...� My Commission Expires ltAttt��' JuneO6 2022 Version 10/17/2016 Contractor's Bid for Public Worsts - 6 Project Name Project No. For Bids IDue BASE BID Addendum No. 2 V, I BID/PROPOSAL CITY OF SOUTH BEND Ironwood Drive Sidewalk Edison Road to S.R. 23 11 7-033A December 12, 2017 Item No. Description Quantity Unit Unit Price Total Amount 1 Mobilization/Demobilization 1 LS $611 00.00 $6,100,00 2 Construction Engineering 1 LS $2,600.00 $2,600.00 3 Maintenance of Traffic I LS $3,400.00 $3,400,00 4 Flashing Arrow Sign 45 Days $1&00 $810,00 5 Construction Sign, Type "A" 16 EA $58.00 $928.00 6 Curb, Remove 560 LFT 1 $14.00 $7,8,40.00 7 Concrete Sidewalk/Approach, Remove 250 SYD $25M $6,250.00 8 Tree, Remove, 48" 1 EA $4,100.00 $4,100,00 9 Sign, Sheet, Relocate 5 EA $165.00 $825,00 10 Common Excavation 300 CYS $33.00 $9,900.00 11 Compacted Aggregate, No. 53 150 TON $65.00 $9,750.00 12 HMA for Approaches 150 SYS $86.50 $12,975.00 13 Sidewalk, Concrete, 4" 850 SYS $37.50 $31,875,00 14 Curb Ramp, Concrete 35 1 SYS $125.00 $4.375M 15 Concrete Curb and Gutter, 6", Type B 3010 LFT $51.50 $15,450.00 16 Concrete Approach, 8" 450 SYS $101.00 $45,450,00 17 High -Early Concrete Additive 350 SYS $2.35 $,822.50 18 19 Sodding Fire Hydrant Assembly, Relocate 550 I SYS EA 22M $3975.00 $12,584.00 $3,975.00 20 Casting, Adjust to Grade 4 EA $300M 21 Line, Epoxy, Solid, White, 6" 115 LFT $%00 22 Transverse Marking, Thermoplastic, White, 24" 25 LFT $25.00 625.00 TOTAL BASE BID $182,984.50 Bidder (Firm): Walsh & Kelly, Inc. Address: 24358 SR 23 City/State/Zip: South Bend, IN 44 % "!a,,Telephone Number: /' 17(574/ ) 288-40,11 , 0 By (Signature) D st Inn/ SnEith Mm (Printed Name of Person Signing) .1.. IN D I 0A �4010'101 , q0o"' Version 10117/2016 Contractor's Bid for Public Works - 7 0' w as i m G Y r;. m O w°itr3+i��y u O w 0 cc 2' CLc t71 t sr w a CD CT CD CD L ^� Y N ooE � 3 3 fl O w v) a oc -0 o (L z C ©Lu OmE wz a:50 mW 0 JCL C W Iw!-x to IL �w cE 0w JCL u0 � w m0 am o °' ww U. c 3 °oB m - 3° Q.� z a �« z & Q � 3 � 7 L O M N N N G! Qy 3 fA s � 3 N N O E= !� d m CD a c� E m O u m , L N : C I-- C� J a .O O c O h 'O w d y G O 3 c a z A f a_ d Lq Ir co m C co i Lr C n 0 a W H°- N C O p c ° Fa M C ° 0 r� 0 0 � CQ7 �M 00 m t0 r C w p N cu o yCD o p $ QLa IL p a Y (k Q y 0, N V N u �~ Cf N E? E� Ln W ca CJ W CV g o rn d s7 D z U N 4D Mr ro�0 �CjU) N N z C �c CITY OF SOUTH MEND -0_- MINORITY AND WOMEN BUSINESS ENTERPRISE DIVERSITY h' ` DEVELOPMENT PROGRAM : . tt FORM MWBE-2.0 EVIDENCE OF GOOD FAITH EFFORTS This completed form should be included as part of the Bids documents related to City of South Bend Public Works Projects requiring Good Faith Efforts to obtain MBEIWBE participation. it is the bidder's sole responsibility to verify whether any listed minority or woman business meets the qualifications of a Minority or Women's owned business as defined by the Indiana Department of Administration ("IDOA"). Project Number: Project Name: Bidder: Contact Person: Address: City: Email: 117-033A Ironwood Drive Sidewalk Edison Road to S.R. 23 Date: 12/12/17 Walsh & Kelly, Inc. Dustin Hilary Telephone: 574-288-4811 24358 SR 23 South Bend State: dustinh walshkelly.com Zip: 46614 To determine whether a bidder has demonstrated good faith efforts to reach the MBE/WBE utilization goals set forth in the City of South Bend Public Works Project Specifications, the City and its agencies, boards, or commissions, RrOUIRE ALL of the following Good Faith Efforts as listed in the table below": EVIDENCE OF GOOD FAITH EFFORTS MBEIWBE LIST(S): The bidder reviewed the City of South Bend's Minority and Women Business Enterprise Diversity Development Program, which uses the IDOA approved list of Minority and Women Owned Business as found on their website (http://www.in.gov/idoa). ACTION (ADVERTISEICONTACT): In order for your bid to be deemed responsive, the City of South Bend requires that all perspective bidders complete no less than 2 of the following: n ) Attend all pre -bid meetings scheduled by the City to inform MBE/WBEs of contracting and l / subcontracting opportunities. 2. Advertise in general circulation and/or trade association publications concerning subcontracting opportunities, and allow MBEIWBEs reasonable time to respond. C3)Perform any and all necessary steps to provide written notice in a manner reasonably calculated to inform MBE/WBEs of subcontracting opportunities and allowed sufficient time for them to participate effectively. A. Jtilize pre-existing sarvices of available community organizations, small and{or disadvantaged business assistance offices and other organizations that provided assistance in the recruitment and placement of MBEIWBE firms. **Bidder must circle or otherwise notate which of the two (2) required actions were performed. GOOD FAITH NEGOTIATIONS: The bidder negotiated in good faith with interested MBEIWBEs, including providing such MBE/WBE's with adequate information about the plans, specifications and other requirements of the subcontract and did not reject MBEIWBEs as unqualified without sound business reasons based on a thorough investigation of their capabilities. SMALL CONTRACT(S): The bidder selected specific portions of the work to be performed by MBEIWBEs in order to increase the likelihood of meeting the MBE/WBE goals (including breaking down contracts into smaller units to facilitate MBE/WBE participation) CONTRACT RECORDS: The bidder has maintained the following records for each MBEIWBE that has id on the subcontracting opportunity: 1. Name, address, and telephone number; 2. A description of information provided by the bidder or subcontractor; and 3. A statement of whether an agreement was reached, and if not, why not, including any reasons for concluding that the MBEIWBE was unqualified to perform the job. 'Proper demonstration or Good Faith Effort raquires your initials next to all of the above box -as. Any omissions shall be considered grounds for rejection of the bid any the Board of Public Works. The City of South Bend reserves the right tc request additional Information. Version 10/17/2016 Contractor's Bid for Public Works - 9 �4w°""` CITY OF SOUTH BEND r MINORITY AND WOMEN BUSINESS ENTERPRISE DIVERSITY 4 ' DEVELOPMENT PROGRAM FORM MWBE-2.1 = �$ MBE(WBE CONTACTED esesu.r ' This completed form should be supplied with Bids that pertain to City of South Bend Public Works Projects requiring contacted MBE1WBE to obtain Good Faith Efforts. It Is the bidder's sole responsibility to verify whether any listed minority or woman business meets the qualifications of a Minority or Women's owns a 3 R@ga business. PAGE 1 O ®Y � t ); Project Number: 7-033A MBE/WBE Participation Goal®s.,a,°°°°, Project Name. ronwoo0116rive Sidewalk Edison Road to S.R. 23 e C T\� ORATF Bidder: / Wals ell ,Inc. ee By: ` South Bend Area Manager 12/12/11- .(Sig ature) (Title) (Date) °ek 1N D \\1\ � 196t4���°� MEN E Firm State Barricading, Inc. Owner or Contact at MBENVBE Firm James Michalski Telephone: 574-287-2078 Fax: 574-287-1744 Email: statebarricadingl@aol.com TYPE OF WORK SOLICITED FOR THIS PROJECT: Traffic Control and Signs RESULTS OF CONTACT WITH THE MBEMIBE FIRM: Using State Barricading, Inc. MBENUBE Firm Owner or Contact at MBENVBE Firm Telephone: Fax: Email: TYPE OF WORK SOLICITED FOR THIS PROJECT: RESULTS OF CONTACT WITH THE MBEMBE FIRM: Version 10/17/2016 Contractor's Bid for Public Works -10 1316 COUNTY-Cn'y MHDING' 227 W, JEFFERSON Boul.F.VARD 5otrrii BEND, INDMA 46601-1830 PHONF 574/ 235-92�51 FAX 574/ 235-9171 TDD 574/ 235-5567 Crrym'Sou1 'jiBEND BOARD OF PUBLIC WORKS Date: December 7, 2017 To: All Planholders From Linda M. Martin, Clerk, Board of Public Works Subject Addendum Number: I Project Name: Project Number: Date Received: Ironwood Road Sidewalk, Edison Road to S.R. 23 117-033A This addendum is being forwarded to you for the above referenced project. Please sign below and acknowledge receipt of this Addendum by faxing this sheet to the Board of Public Works at (574) 235-9171 within 48 hours of receipt. A copy MUST also be included with your bid package upon submittal. -6 1141,11 Notes: The attached documents are hereby added to the Specifications and Contract Documents and become a part of �er6n. Company: Walsh & I Authorized Signature, Date: 1 ->/A/1 7 7 Hflary, South Bend Area Manager 60 % 1316 COUNTY-Crry BuILDNG 227 W, JFFFERSON BOULEVARD SOUTH BEND, NDIANA46601-1830 PHOM-,' 574/235-9251 FAN 574/ 235-9171 TDD 574/ 235-5567 CH I Y OF SOUTI I BEND 13tJ111GIFIX", MAYOR BOARD OF PUBLIC WORKS Date: December 8, 2017 To: All Planholders From Linda M. Martin, Clerk, Board of Public Works Subject Addendum Number: 2 Project Name: Ironwood Road Sidewalk, Edison Road to S.R. 23 Project Number: 117-033A Date Received: 12/8/17 This addendum is being forwarded to you for the above referenced project. Please sign below and acknowledge receipt of this Addendum by faxing this sheet to the Board of Public Works at (574) 235-9171 within 48 hours of receipt. A copy MUST also be included with your bid package upon submittal. Notes: The attached documents are hereby added to the Specifications and Contract Documents and become a part of herei,q. 0 U0 VU-1- r e�o OV U Company: Walsh & Authorized Signature: Date: Version 4/2/2015 Inc. uustinmiary, alter NN� C, H Li Surety O + 908.903.3485 202B Halts Mill Road, PO Box 1650 F + 908.903.3656 Whitehouse Station, rg 08889-1650 Federal Insurance Company AU Document A310'tm - 2010 Bid Bond Any singular reference to Contractor, Surety, Owner or other party shall be considered plural where applicable. CONTRACTOR {Name Iegalstatus and address): Walsh & Kelly, Inc. 24358 State Road 23 South Bend, IN 46614 OWNER (Name, legal status and address): City of South Bend, Indiana County -City Building, Room 1316 227 West Jefferson Blvd. Sourh Bend, IN 46601 BOND AMOUNT SURETY (Name, legal status and principal place ofbusiness): Federal Insurance Company 202B Halls Mill Rd., PO Box 1650 Whitehouse Station, IqJ 08889-1650 In the amount of not less than five percent (5%) of the base bid plus any alternates. PROJECT (Name, location or address, and Project number, if any) Ironwood Drive Sidewalk Edison Road to S.R. 23 Project No. 117-033A The Contractor and Surety are bound to the Owner in the amount set forth above, for the payment of which the Contractor and Surety bind themselves, their heirs, executors, administrators, successors and assigns, jointly and severally, as provided herein. The conditions of this Bond are such that if the Owner accepts the bid of the Contractor within the time specified in the bid documents, or within such time period as may be agreed to by the Owner and Contractor, and the Contractor either (1) enters into a contract with the Owner in accordance with the terms of such bid, and gives such bond or bonds as may be specified in the bidding or Contract Documents, with a surety admitted in the jurisdiction of the Project and otherwise acceptable to the Owner, for the faithful performance of such Contract and for the prompt payment of labor and material furnished in the prosecution thereof, or (2) pays to the Owner the difference, not to exceed the amount of this Bond, between the amount specified In said bid and such larger amount for which the Owner may in good faith contract with another party to perform the work covered by said bid, then this obligation shall be null and void, otherwise to remain in fitll force and effect. The Surety hereby waives any notice of an agreement between the Owner and Contractor to extend the time in which the Owner may accept the bid. Waiver of notice by the Surety shall not apply to any extension exceeding sixty (60) days in the aggregate beyond the time for acceptance of bids specified in the bid documents, and the Owner and Contractor shall obtain the Surety's consent for an extension beyond sixty (60) days. If this Bond is issued in connection with a subcontractor's bid to a Contractor, the term Contractor in this Bond shall be deemed to be Subcontractor and the term Owner shall be deemed to be Contractor. Printed in cooperation with theAmerican lnstituteof Architects (AM) byChubb. The languagein this documentconforms to the language used in AIADocument A310 2u • 2010. Farm 15-02-05751M {Rev. 31M When this Bond has been furnished to comply with a statutory or other legal requirement in the location of the Project, any provision in this Bond conflicting with said statutory or legal requirement shall be deemed deleted here from and provisions conforming to such statutory or other legal requirement shall be deemed incorporated herein. When so furnished, the intent is that this Bond shall be construed as a statutory bond and not as a common law bond. Signed and sealed this 12th (Witness) Alisha Krueger (witness) David M. Oli day of 7. Walsh,a/Kelly C. B . �Qa��ttd dal) Dustin Hilaryw����° oeORAI'F a South Bend Area. Manager (Title) Federal Insurance Company By: Printed in cooperation with theAmerican Institute ofArchitects (AIA) by Chubb. The language in this document conforms to the language used in AIA DocumentA310 M-2010. Form 15-02-0575•FED (Rev. 3/17) CHuss* Power of Attorney Federal Insurance Company l Vigilant Insurance Company I Pacific Indemnity Company Know All by These Presents, That FEDERAL INSURANCE COMPANY, an Indiana corporation, VIGILANT INSURANCE COMPANY, a New York corporation, and PACIFIC INDEMNITY COMPANY, a Wisconsin corporation, do each hereby constitute and appoint Tia A, Boice, Terry R. Hurst, Brian T. Morton, David M. 011ger, Robert M. Rutigliano, Christina Marie Schmitter, Tina N. Senefeld and Eric M. Wahistrom of Indianapolis, Indiana --- ------_— ---- — each as their true and lawful Attorney-in-Faa to execute under such designation in their names and to affix their corporate seals to and deliver for and on their behalf as surety ihereon or otherwise, bonds and undertakings and other writings obligatory In the nature thereof (olher [ban ball bonds) given or executed In the course of business, and any instruments amending or alteringthe same, and consents to the modification or alteration of any Instrument referred to in said bonds orobllgations, in witness whereof, said FEDERAL INSURANCE COMPANY, VIGILANT INSURANCE COMPANY, and PACIFIC INDEMNITY COMPANY have each executed and attested these presents and aMxed their corpotate sealson this 191h day ofianuary, 2017. /'1� t Dawn M. Chloros, Assistant Secretary Catherine A. Dot t Vice President STATE OF NEW JERSITY Countyof Hunterdon On this 19'h day of January, 2017 before me, a lolary Public of New Jersey, personalty came Dawn M. Chloros, to me itnown to be Assistant Secretary of FEDERAL INSURANCE COMPANY, VIGILANT INSURANCE COMPANY, and PACIFIC LNDEM.NITY COMPANY, the companies which executed the foregoing rower of Attorney, and the said Dawn M, Chloros, being by me duly sworn, did depose and say that she is Assistant Secretary of FEDERAL INSURANCE COMPANY, VIGILANT INSURANCE WMPANY, and PACIFIC INDEMNITY COMPANY and knows the ooglorate seals thereof, that the seals affixed to the foregoing Power of Attorney are such corporate seals and were thereto affixed by authority of said Companies. and that she signed said Power of Attorney as Assistant Secretary of Bald Companies by like authority; and that she is acquainted with Catherine A. Donahue, and knows him to be Vice President of said Companies; and that the signature of Catherine A Donahue, subscribed to sold Power of Attorney Is in the genulne handwrtiingoftatherin and was theretosubsctihedbyauthorityofsaidCompanies and Indeponent'spresenee. Notarial Seal KATHERINE J, ADEI AAR � r Y NOTARY PUBLIC OF NEW JERSEY a-r NO.23160611 Nolary Public �pIJBLiG Commission Expires�Jttyv l,l�'iCn"r2 t Resolutions adopted by E Directors of FEDERAL INSURANCE WMPANY, VIGILANT INSURANCE COMPANY, and PACIFIC INDEMNITY COMPANY on August 30, 201G: -RESOLVEO, that the following authorlratlow relate to the exemann, for and on behatf of the Company, ortonds, tutdertatdrtp. recagnlances, rnntraas and other written oommltmencc of the Company entered into in the ordlnary co tow of business (each a `Wrineh Commiune;t"k (I) Each of the Chairman. the President and the Vice Residents of the Company is hereby audtorized to execute any Written Commlouent for andonbehalfof the Company. under the seal of the Companyor otherwise. (2) each duly appointed attomeydn•fact of the Company Is hereby authorized to execute any Written Commitment for and on behair of the Company, under the seal of the Company or otherwise, to the extenithatsuch action to audtorked by dtegrantof powers provided for In such persores written appointment as such auorneymdact. (3) Each of the Chairman, the [resident and the Vice Presidents of the Company 15herebyauthorized,fnrand (in behalfoftheCompany, toappoint inwilting any person the attomey- trrfact or the Company with full power and auti"Iytoexecute, for and on behatrofthe Company. under the -seal oftheCmmpanyorotitetxise,such. Written Comrrihmumtsofthe Cumpanyas may be specified in such written appolnunenl. which spedilcition may be by general type or dam or written Commitments or by specification of one ormare particular Written Commitments. (4) Each or the Chairman, the PMMdent and the Vloe PreAdents of the GDmpanyls hereby authorized. for and on behAifofthe Company. to delepte In wrift to any other oillow ofthe Company the authority to exearte, for and on behalf of the Company, under the Company's seal or odherwite, attar Written Gontmnments ofthe Company as are specified in such written delegatfon,which opeealcatton may be by general typeor dassof Written Cotntnitmenrs or byopeciftsadon ofoneormore particular Written Comm1miertm (s) The signature of anyoMeer or other person exestuing any Written Commitmentor apiwlntment or deegelon pursuant to this Resolution. and the seal of the Company, may be alfucedby facshnlleonsuch Written Commitment or writtenappohtttnentor delegation FURTHERRFSOLVEO, that the foregoingg Resoluutm shatt not bedeemediobeanexclusivestatementofthepowersandauthorityofotiltm.employe¢,sandotherpersons.toaaforandonbeha[for the Company. andsudr Resolutionshall notlimit or otherw sealCect the exercise ofanysudt power or alldroity otherwise valldlygranted arvesteV 1, Dawn M. Chlorin, Assistant Secretary of FEDERAL INSURANCE COMPANY, VIGILANT INSURANCE COMPANY, and PACIFIC INDEMNITY COMPANY (the 'Companies") do hereby certify that (iJ the fonoing Resolutions adopted by the Board of Directors of the Companies are true, correct and In full force and effect, (it) the Companies are duly licensed and authorized to transact surety business in all so of the United States of America and the District of Columbia and are authorized by the US. Treasury Department; further, Federal and Vigilant are licensed In the U.S. Virgin Islands, and Federal is licensed in Guam, Puerto Rico, and each of the Provinces of Canada except Prince Edward island; and (Ili) the foregoing Power of Attorney is true, correct and In full farce and effect Given under my hand and seals of said Companies at Whitehouse Station, w, this DL=ce )ex 12120I.;7 .: j0 4) -° Dawn M. Chloros, Assistant Secretary rorm10-1u•Vzz00-U 1;ent;V"UrM1trev.1u•10r Part of State Form52414 (R2 12-13) Form 96 (Revised 2013) 1 •i Walsh & Kelly, Inc. (Contractor) 24358 SR 23 (Address) South Bend IN 46614 FOR PUBLIC WORKS PROJECTS OF City of South Bend, Indiana Ironwood Drive Sidewalk Edison Road to S.R. 23 Project No. 117-033A Filed December 12t", 2017_______ Action to State Form 52414 (R 19-10) Prescribed by State Board of Accounts Form No. 96 (Revised 2013) CONTRACTOR'S BID FOR PUBLIC WORK — FORM 96 PART 1 (To be completed for all bids. Please type or print) Date (month, day, year): December 12, 2017 1. Governmental Unit (Owner): City of South Bend, Indiana 2. County: St. Joseph 3. Bidder (Firm): Address: City/State: 4, Telephone Number: 5. Agent of Bidder (If applicable): Walsh & Kelly, Inc. 24358 SR 23 South Bend IN 46614 574-288-4811 Pursuant to notices given, the undersigned offers to furnish labor and/or material necessary to complete the public works project of City of South Bend, Indiana — Board of Public Works (Governmental Unit) in accordance with plans and specifications prepared by Abonmarche Consultants, Inc. dated December 2017 for the sum of _ See Attached $ See Attached The undersigned further agrees to furnish a bond or certified check with this bid for an amount specified in the notice of the letting. If alternative bids apply, the undersigned submits a proposal for each in accordance with the notice. Any addendums attached will be specifically referenced at the applicable page. If additional units of material included in the contract are needed, the cost of units must be the same as that shown in the original contract if accepted by the Governmental Unit. If the bid is to be awarded on a unit basis, the itemization of the units shall be shown on a separate attachment. The Contractor and his subcontractors, if any, shall not discriminate against or intimidate any employee, or applicant for employment, to be employed in the performance of this contract, with respect to any matter directly or indirectly related to employment because of race, religion, color, sex, national origin or ancestry. Breach of this covenant may be regarded as a material breach of the contract. CERTIFICATION OF USE OF UNITED STATES STEEL PRODUCTS (If applicable) 1, the undersigned bidder or agent as a contractor on a public works project, understand my statutory obligation to use steel products made in the United States. I.C. 5-16-8-2. I hereby certify I and all subcontractors employed by me for this project will use U.S. steel products on this project if awarded. I understand that violations hereunder may result in forfeiture of contractual payments, ACCEPTANCE The above bid is accepted this day of Contracting Authority Members: subject to the following conditions: PART II (For projects of $150,000 or more — IC 36-1-12-4) Governmental Unit: City of South Bend, Indiana Bidder (Firm): Walsh & Kelly, Inc. Date (month, day, year), December 12, 2017 These statements to be submitted under oath by each bidder with and as part of his bid. Attach additional pages for each section as needed. SECTION I EXPERIENCE QUESTIONNAIRE What public works projects has your organization completed for the period of one (1) year prior to the date of the current bid? Contract Amount Class of Work When Completed Name and Address of Owner $6,030,341 Resurface December 2015 Lake County Hwy Dept. $5,758,069 Resurface November 2015 Town of St. John $4,461,632 Reconstruction December 2015 INDOT $3,571,923 Reconstruction July 2015 INDOT 2. What public works projects are now in process of construction by your organization? Contract Amount Class of Work When to be Completed Name and Address of Owner $5,080,808 Reconstruction November 2017 City of South Bend, IN $5,938,220 Resurface October 2017 MDOT $5,775,000 Reconstruction. November 2016 Town of Merrillville, IN $3,102,502 Reconstruction October 2016 INDOT 3. Have you ever failed to complete any work awarded to you? No If so, where and why? 4. List references from private firms for which you have performed work. Gatlin Plumbing & Heatin lnc. 1111 E, Main St., Griffith IN Ms. Clara Mu h Gough, -Inc. 2200 E. 88"' Dr., Merrillville IN 46410 Mr. Raymond Gough Dyer Construction Co. 1716 Sheffield Avenue Dyer, IN Janet Furman Grimmer Construction Co. Inc. 2619 Main Street Highland, IN Mr. Greg Grimmer SECTION 11 PLAN AND EQUIPMENT QUESTIONNAIRE i . Explain your plan or layout for performing proposed work. (Examples could include a narrative of when you could begin work, completed the project, Number of workers, etc, and any other information which you believe would enable the governmental unit consider your bid.) As required by owner 2. Please list the names and addresses of all subcontractors (i.e. persons or firms outside your own firm who have performed part of the work) that you have used on public works projects during the past five (5) years along with a brief description of the work done by each subcontractor. See Attached List 3. If you intend to sublet any portion of the work, state the name and address of each subcontractor, equipment to be used by the subcontractor, and whether you will require a bond. However, if you are unable to currently provide a listing, please understand a listing must be provided prior to contract approval. Until the completion of the proposed project, you are under a continuing obligation to immediately notify the governmental unit in the event that you subsequently determine that you will use a subcontractor on the proposed project. Will supply upon award of contract 4. What equipment do you have available to use for the proposed project? Any equipment to be used by subcontractors may also be required to be listed by the governmental unit. QUANTITY ITEM DESCRIPTION, SIZE, CAPACITY, ETC. CONDITION YEARS OF SERVICE PRESENT LOCATION 5 Asphalt Plants Various Good Griffith, South Bend, Valparaiso, Lowell, LaPorte, 18 Asphalt Pavers Various Good Griffith, South Bend 4 Slipform Cone. Paver Comm II Good Griffith, South Bend 3 Road Widener Various Good Griffith, South Bend 5 Motor Graders CAT/J.D. Good Griffith, South Bend 48 Rollers Various Good Griffith, South Bend 31 Rubber Tire Loaders Various Good Griffith, South Bend 15 Excavators Various Good Griffith, South Bend 8 Bulldozers Various Good Griffith, South Bend 6 LowB2y Tractors Various Good Griffith, South Bend 7 Flatbed Dumps Various Good Griffith, South Bend 39 %a and N ton Pickups Various Good Griffith, South Bend 59 1 Ton Crew Trucks Various Good Griffith, South Bend 3 Cold Planers Wirtgen 1900 DC Good Griffith, South Bend 3 Tri-Axle Dump Mack Good South Bend 5. Have you entered into contracts or received offers for all materials which substantiate the prices used in preparing your proposal? Otherwise, please explain the rationale used which would corroborate the prices listed. Yes, we received quotes from potential subcontractors and suppliers SECTION III CONTRACTOR'S FINANCIAL STATEMENT Attachment of bidder's financial statement is mandatory. Any bid submitted without said financial statement as required by statute shall thereby be rendered invalid. The financial statement provided hereunder to the governing body awarding the contract must be specific enough in detail so that said governing body can make a proper determination of the bidder's capability for completing the project if awarded. SECTION IV CONTRACTOR'S NON -COLLUSION AFFIDAVIT The undersigned bidder or agent, being duly sworn on oath, says that he has not, nor has any other member, representative, or agent of the firm, company, corporation or partnership represented by him, entered into any combination, collusion or agreement with any person relative to the price to be bid by anyone at such letting nor to prevent any person from bidding nor to induce anyone to refrain from bidding, and that this bid is made without reference to any other bid and without any agreement, understanding or combination with any other person in reference to such bidding. He further says that no person or persons, firms, or corporation has, have or will receive directly or indirectly, any rebate, fee, gift, commission or thing of value on account of such sale SECTION V OATH AND AFFIRMATION I HEREBY AFFIRM UNDER THE PENALTIES FOR PERJURY THAT THE FACTS AND INFORMATION CONTAINED IN THE FOREGOING BID FOR PRBLIC WORKS ARE TRUE AND -CORRECT. Dated at South Bend this � aklj� K�;4J "ffilr TF °�ii �ACKNOWLEDGEMENT STATE OF Indiana l ss COUNTY OF St. Joseph day of Dustin Hilary, Area Manager (Title of Person Signing) Before me, a Notary Public, personally appeared the above -named Dustin Hilaa -and swore that the statements contained in the foregoing document are true and correct. Subscribed and sworn to before me this 12` l day of December, 2017. Alisha Krueger, Notary Public My Commission Expires: June 5, 2022 K. ALISWA KRUEGER a¢......�� Notary Public, State of Indiana County of Residence: St. Joseph t, SSA[.; _ St„fosephCoonty ' My Commission Expires JuneO6 2022 Form 96 Section 11, #2 Subcontractors Used on Public Works Contracts During the Past 5 Years SUBCONTRACTOR COMPANY SEWER B & D Sewer De—boer-Egolf Delta III Dyer Construction Gatlin Plumbing & Heating 'Gough, Inc. Grimmer Construction Hasse Construction HRP Construction Rex Construction Wirtz & Yates, Inc. Woodruff & Sons MILLING C.E. Hughes Milling, Inc. 5-avelina Construction, Inc, ,Mid America Milling Co. McCrite Millina Specialties Company ELECTRICAL INSTALLAT15 Hawk Enterprises Midwestern Electric SIT Bancroft Electric Sweney Electric Company Trans Tech Electric SIGN INSTALLATION Hawk Enterprises Midwestern Electric RoadSafe Traffic Systems State Barricading, Inc, Traffic Control Specialists, Inc. PAVEMENT MARKINGS The Airmarking Company Blackout Sealcoating RoadSafe Traffic Systems - .. . ...... . . .... State Barricading, Inc. Traffic Control Specialists, Inc. Traffic Management Company LANDSCAPE Great American Landscape Hubinger Landscape Meier's Landscaping Site Restoration .... ........ — SlusserI s Green Thumb, Inc. T & J Landscape Service ADDRESS 531 Winston Ct 5772 Melton Road 2063 W 1256-9— 1716 Sheffield Avenue 1111 E. Main Street 2200 E. 88th Drive 2619 Main Street 10 Lincoln Avenue 5777 Cleveland Rd. 700 Schiller Avenue P.Q. Box 411 P.O. Box 450 CITY/STATE/ZIP Schererville, IN 46375 Portage, IN 46368 Hanna, IN 46340 Dyer, IN 46311 Griffith, IN 46319 Merrillville, IN 46410 Highland, IN 46322 Calumet Ciky, IL 60409 South Bend, IN 46624 Schererville, IN 46375 Kentland, Michiaan Citv. IN 46361 19)763-9700 19)797-4004 19)865-2961 19)924-6972 19)756-2200 19)924-1623 19)932-1611 74)-271-7800 19)322-8090 1-9—)474-6542 1-9*72--8605 FAX 19)865-0065 19)763-9703 19)797-3008 19)865-2963 19)924-1401 19)932-6,829 74)271-0524 19)322-0031 19)8795339 3113 Holmans Lane Jeffresonville, IN 47130 (812),725-8665 (81 13476 Britton Park Rd. Fishers, IN 46038 (317)841-8364 (31 6200 W. Hwy 62, Ste 400 Jeffersonville, IN 47130 (812)282-2751 (81 209 Quality Ave. Ste 9 New Albany, IN 47150 —(8-12)941-0252 (81- 9350 E. 30th St. Indianapolis, IN 46229 (317)594-0291 (31 1850 E. North St 1620 E. Chicago Ave State Road 2 9111 Louisiana St. 4601 Cleveland Roac 1850 E. North St 1620 E.-C--N—cagoAve 3519 Harding Street 24963 U.S. Highway 20 305 W. Hamilton Dr. P.O. Box 526 7440 W, 87th Place 3519 Harding Street 24963 U.S. Highway 20 305 W. Hamilton Dr. 3542 Hi.qhwav Avenue Crown Point, IN 46307 taif Chicago, IN 46312 South Bend, IN 46619 Merrillville, IN 46410 South Bend, IN 46619 Crown Point, IN 46307 East Chicago, IN 46312 Indianapolis, IN 46217 South Bend, IN 46628 m. Knox, IN 46534 Rochester, IUN 46975 Bridgeview, IL 60456 Indianapolis, IN 46217 South Bend, IN 46628 Knox, IN 46534 Highland, IN 46322 P.O. Box 235 —E. Dyer, IN 46311 210 11 3th Avenue Crown Point, IN 46307 6809 Columbia Ave Ste A Hammond, IN 46324 5225 E. 145th Avenue Crown Point, IN! 46307 125 Montgomery Street Logansport, IN 46947 8253 Wicker Avenue St. John, IN 46373 725-86,72 � 841-00761 1-0862 T-627 11 219)662-8090 (219)662-8093 219)397-4444 (219)397-8888 574)287-6490 219)769-6007((219)769-05651 574)272-96731(574)271 -01441 19)662-8090 (219)662-8093 19)397-4444 (219)397-8888 17)780-1825 74)287-2078 74)772-7001 (574)772-7002 574)223-5817 (574)223-7959 219)864-2300 (708)4 0-6 -6 317)780-1825 574)287-2078 574j"7' 2-4001 (5-74)772-766-2 219)746-2433 9)322-7033 (219)322-4419 9)662-9911 (219)662-6206 9)989-9070 (2119)989-9073 9)743-8180 (219)661-1818 4)722-3102 (5-74}72-2--1628-' 9)374-9000 (219)374-9950 1261 Form 96 Section 11, #2 Subcontractors Used on Public Works Contracts During the Past 5 Years — Page COMPANY ADDRESS CITY/STATE/ZIP PHONE FAX GUARDRAIL/FENCING Acorn Fence C Tech Corporation James H. Drew Company Security Industries 2041 164th Street 5300 W. 100 North 8701 Zionsville Rd. 1000 Georgilana St. Hammond, IN 46320 Boggstown, IN 46110 Indianapolis, IN 46268 IN 46342 (219)844-8400 (317)835-2745 (317)876-3739 (219)942-9447 (219)844-8441 (317)835-2781 (317)876-3829- (219),942-9448 Specialties Company --Hobart, 19350 E. 30th St. ndjanal3—olis, IN 46229 1(317)594-02911(317)594-0271 TRUCKING/HAULING C. Lee Construction, Services 1200 W. Main Street Griffith, IN 46319 (219)922-7733 (219)924-8609 Condon Trucking, LLC 18245 Amberley Ln South Bend, IN 46637 (5,74)360-4326 (574)271-89,84 Fanio, Services 28015 SIR 23 North Liberty, IN 46554 (5,74)233-3236 Glimer Trucking 20390 New Road South Bend, IN 46614 (5,74)229-3233 J. Jarrett Trucking. Inc. 3316 W. 45111 Avenue Gary, IN 46408 (219)902-6660 (219)884-8292 Material Transfer Inc. 7811 West 101 st Ave. Crown Point, IN 46307 (219)865-9575 V & R Trucking, Inc. 1845 Elmer St. South Bend, IN 46628 (574)329-2102 SRPM'S K & S IMarekers, Inc. 2189 N 600 W ---- IThorntown, IN 46071 F(765)482-61841(765)482-6284 M.A.S. (Markers, Inc. 1625 S 4010 E ILebanon, IN 46052 1(317)769-72001 UNDERSEAL ---f—(219)362-61781 �Rieth-Riley Construction Co Inc 12454 West CIR 450 North IlLaPorte, IN 46350 TREE REMOVAL Dave's Tree Service 1555 Park West Circle Munster, IN 46321 (219)922-1819 Homier Tree Service 14000 S. Archer Ave Lockport, IL 60441 (815)838-0320 Timber Masters LLC P.O. Box 245 Dyer, IN 46311 (219)864-8733 LIME, STABILIZATION Mt. Carmel Sand & Gravel -Rack Solid Stabilization 1611 College Dr. 5104 Mann Drive, Mt. Carmel, IL 62863 Ringwood, IL 60072 (618)262-51181(618)263-4084 (815)653-25851(815)653-2583 Specialties Company 9350 E. 30th St. Indianapolis, IN 46229 (317)594-02911(317)594-0271 PIPE LINING Indiana Reline, lInc. 1312 E. Main Street jSulphur Springs, IN 47388 765-766-5040 765-533-5831 SAW CUTTING Diamond Corinig Co., Inc. 11800 S Ewing Ave Chicago, .. , IL 60617 773-978-5000 (Quality Saw & Seal, Inc. 7600 W. 79th Street lBridgeview, IL 60455 �773-767-9300 General Form No. 96-a Prescribed by the State Board of Accounts of Indiana, Revised 1949. Standard Questionnaires and Financial Statement for Bidders Prescribed by THE STATE BOARD OF ACCOUNTS OF iNDIANA For use in investigating and determining the qualifications of bidders on public construction when the aggregate cost of any such work or improvement will be Five Thousand Dollars or more. These statements to be submitted under oath by each bidder with and as a part of his bid, as provided by Chapter 306, page 1248, Acts of 1947 Submitted to City of South Bend Indiana — Board of Public Works By Walsh & Kelly, Inc. Address 24358 SR 23 South Bend IN 46614 Date submitted December 12111, 2017 Filed AR BOYCIR CO,, MUNCIB, IND, IA Corporation 1 Sec. 2 of an Act entitled "AN ACT concerning the awarding of contracts for the performance of public work and authorizing the board of accounts to prescribe certain forms to be used in ascertaining the responsibility of contractors who submit bids for the performance of such work, providing for plans and specifications, providing for bids repealing certain laws and declaring an emergency." (Approved March 13, 1947.) Sec. 2. Whenever the aggregate costs of any work or improvement will be five thousand dollars ($5,000.00) or more, for the purpose of enabling such board, commission, trustee, officer or agent to ascertain and determine which of the bidders submitting bids for the performance of any such public work is, in the judgment of such board, commission, trustee, officer or agent, the lowest and/or best bidder and to exercise intelligently the discretion hereby conferred on such board, commission, trustee, officer or agent each bidder shall be required to submit under oath with and as a part of his bid a statement of his experience, his proposed plan for performing such work and the equipment which he has available for the performance of such work and a financial statement. The statements hereby required shall be submitted on forms which shall be prescribed by the state board of accounts. The forms so prescribed shall be designated, respectively, as the experience questionnaire, the plan and equipment questionnaire and the contractor's financial statement, and shall be based, so far as applicable, on the standard questionnaires and financial statement for bidders as approved and recommended by the joint conference on construction practices, for use in investigating the qualifications of bidders on public construction work, and the forms so prescribed are hereby prescribed as the forms which shall hereafter be used by all such boards, commissions, trustees, officers and agents in obtaining the information which is required in the administration of this act. if the information submitted by any bidder on the forms herein prescribed is found, on examination, to be unsatisfactory, the bid submitted by such bidder shall not be considered. (Burns Statutes 1933, Sec. 53-109) Sec. 2, Chapter 306, Acts of 1947. 0Elm 0:1a 311JiJ0l:m The following forms of questionnaires and financial statement are prescribed by the State Board of Accounts in conformity with the statute set out on the preceding page. These forms, properly filled out and attested, must accompany each bid of five thousand dollars or more on any public work. The forms are designed to cover all contracts for all kinds of work and the bidder is required to answer such questions as are pertinent to the work upon which he is bidding. The purpose of the questionnaire and financial statement, as set forth in the law, is to enable the awarding body to determine the qualifications of the bidder to carry out successfully the contract if the same is awarded to him. The bidder will find it to his advantage to answer fully all questions coming within the range of the work upon which he is bidding. Particular attention should be given the "Financial Statement" and the details relative to the assets and liabilities set out. This form is made in extensive detail so that the bidder may explain his assets and liabilities in proper sequence and in a uniform manner. T. M. H1NDMAN, State Examiner Submitted by Walsh & Kelly, Inc. { x A Corporation Principal Office at 1700 East Main Street Griffith IN 46319 To City of South Bend, Indiana ---- Board of Public Works EXPERIENCE QUESTIONNAIRE The signatory of this questionnaire guarantees the truth and accuracy of all statements and of all answers to interrogatories hereinafter made. l . How many years has your organization been in business as a general contractor under your present business name? 60 Years 2. How many years of experience in asphalt paving— construction work has your organization had: (a) As a general contractor 70 years (b) As a sub -contractor 70 Years 3. What projects has your organization completed? Contract Amount Class of Work When Completed Name and Address of Owner $ 6,030,341 Resurface December 2015 Lake County Hwy Dept. $ 5,758,069 Resurface November 2015 Town of St. John, IN $ 4,461,632 Reconstruction December 2015 INDOT $ 3,571,923 Reconstruction July 2015 INDOT 3-A. What projects has your organization now in process of construction? CONTRACT AMT. CLASS OF WORK WHEN TO BE COMPLETED NAME AND ADDRESS OF OWNER $ 5,080,808 Reconstruction November 2017 City of South Bend, IN $ 5,938,220 Resurface October 2017 INDOT $ 5,775,000 Reconstruction November 2016 Town of Merrillville, IN $ 3,102,502 Reconstruction October 2016 INDOT 4. Have you ever failed to complete any work awarded to you? No If so, where and why? 5. Has any officer or partner of your organization ever been an officer or partner of some other organization that failed to complete a construction contract? No If so, state name of individual, other organization and reason therefore 6. Has any officer or partner of your organization ever failed to complete a construction contract handled in his own name? No If so, state name of individual, name of owner and reason therefor 7. In what other lines of business are you financially interested? None 8. For what corporation or individuals have you performed work, and to whom do you refer?_ BP Amoco Whiting, Indiana Tonn & Blank Construction 1623 Greenwood Ave. Michigan City, IN 46360 Grimmer Construction Co., Inc. 2619 Main Street, Highland, IN 46322 University of Notre Dame South Bend Indiana Gough, Inc., 1151 E. Summit, Crown Point, IN 46307 9. For what cities have you performed work and to whom do you refer? Town of Griffith Director of Public Works Griffith IN Town of Schererville Town Manager Schererville, IN Qity. of Hammond City Engineer...---- Hammond IN City of South Bend City Engineer South Bend, IN Town of St. John Town Manager St. John IN 10. For what counties have you performed work and to whom do you refer? Lake Cou!Ay Highway Su erintendent Crown Point IN Porter County Highway Superintendent Valparaiso, IN St. Joseph County Highway Superintendent South Bend,.IN Elkhart County Highway Superintendent Elkhart, IN 11. For what State bureaus or departments have you performed work and to whom do you refer? Indiana De artment of Transportation fMQT LaPorte District LaPorte IN Department of Natural Resources Indianapolis, IN 12. Have you ever. performed any work for the U.S. Government Yes If so, when and to whom do you refer? U.S. Army Corps of Engineers .........Chicago, IL Indiana National Guard, Dept. of Administration Indianapolis, IN Federal Highway Administration Sterling, VA 13, What is the construction experience of the principal individual of your organization? INDIVIDUAL'S NAME PRESENT POSITION OR OFFICE YEARS OF CONSTUCT ION EXPEREIN CE MAGNITUDE AND TYPE OF WORK IN WHAT CAPACITY Kevin J. Kelly President 32 All Typim General Manager Jeffrey L. Swan Executive Vice President 33 All Types Supt. Engineering David Misirly Vice President 30 Bituminous Paving Engineer Gre Hoffman Vice President 30 Bituminous Paving Engineer Lynn Bauer South Bend Ops Mgr 22 Alljypes Engineer Dustin Hilary South Bend Area Mgr 16 All types Engineer Mark Krachenfels Engineer 27 Bituminous Paving Engineer Douglas Kesler Engineer 42 Bituminous Paving Engineer PLAN AND EQUIPMENT QUESTIONNAIRE The signatory of this questionnaire guarantees the truth and accuracy of all statements and of all answers to interrogatories hereinafter made. 1. In what manner have you inspected this proposed work? Explain in detail. Plans Specifications, and Site Inspections 2. Explain your plan or layout for performing the proposed work As directed by owner/engineer 3. The work, if awarded to you, will have the personal supervision of whom? Kevin J. Kelly,Jeffrey L. Swan David Misirly, Greg Hoffman Dustin Hilaly, and _Lynn Bauer 4. *Do you intend to do the hauling on the proposed work with your own forces? Yes If so, give amount and type of equipment to be used As needed 5. *If you intend to sublet the hauling or perform it through an agent, state amount of sub -contract or agent's contract, and if known, the name and address of sub -contractor or agent, amount and type of his equipment and financial responsibility Items 4,5,6 and 7 may not be applicable in all building contracts; if not, omit. 6. *Do you intend to do the grading on the proposed work with your own forces?. If so, give type of equipment to be used 7. *If you intend to sublet the grading or perform it through an agent, state amount of sub -contract or agent's contract, and, if known, the name and address of sub -contractor or agent, amount and type of his equipment and financial responsibility 8. Do you intend to sublet any other portions of the work? If so, state amount of sub -contract, and, if known, the name and address of the sub -contractor, amount, and type of this equipment and financial responsibility 9. From which sub -contractors or agents do you expect to require a bond? None 10. What equipment do you own that is available for the proposed work? QUANTITY ITEM DESCRIPTION, SIZE, CAPACITY, ETC. CONDITION YEARS OF SERVICE PRESENT LOCATION 5 Asphalt Plants Various Good Griffith, South Bend, Valparaiso, Lowell, LaPorte 18 Asphalt Pavers Various Good Griffith, South Bend 4 Slipform Cone, Paver Various Good Griffith, South Bend 3 Road Widener Various Good Griffith, South Bend 5 Motor Graders CAT/J.D. Good Griffith, South Bend 48 Rollers Various Good Griffith, South Bend 31 Rubber Tire Loaders Various Good Griffith, South Bend 15 Excavators Various Good Griffith, South Bend 8 Bulldozers Various Good Griffith, South Bend 6 LowBoy Tractors Various Good Griffith, South Bend 7 Flatbed Dumps Various Good Griffith, South Bend 39 %2 and 3/ ton Pickups Various Good Griffith, South Bend 59 1 Ton Crew Trucks Various Good Griffith, South Bend 3 Cold Planers Wirtgen 1900 DC Good Griffith, South Bend 3 Tri-Axle Dump Mack Good South Bend 7 11. What equipment do you intend to purchase for use on the proposed work, should the contract be awarded to you? QUANTITY I ITEM DESCRIPTION, SIZE, CAPACITY, ETC. I APPROXIMATE COST None 12. How and when will you pay for the equipment to be purchased? NIA 13. Do you propose to rent any equipment for this work?No If so, state type, quantity and reasons for rentin 14. Have you made contracts or received firm offers for all materials within prices used in preparing your proposal? Do not give names of dealers or manufacturers Dated at South Bend this 121h day of & 0 RP0hf�T� °® STATE OF In nal*.* ss. COUNTY OF St. Joseph (Name of Person Signing) Dustin Hila being duly sworn deposes and says that he is Area Manager of the above Walsh & Kelly, Inc. (Name of Organization) and that the answers to the questions in the foregoing questionnaires and all statements therein contained are true and correct. Subscribed and sworn to before me this 121h day of December, 2017 V"-, � , e Alisha Kru er, Notary Public My Commission expires June 5, 2022 _ ALISHA KRUEGER8 Ny (, Rt p�B� NotPry Public, State ofIndiana EAL' ['4 StJ,,MyComn Expiresb;";; June06 2022 State of Indiana Office of the Secretary of State CERTIFICATE OF EXISTENCE To Whom These Presents Come, Greeting: I, CONNIE LAWSON, Secretary of State of Indiana, do hereby certify that I am, by virtue of the laws of the State of Indiana, the custodian of the corporate records and the proper official to execute this certificate. I further certify that records of this office disclose that WAL5H &KELLY INC duly filed the requisite documents to commence business activities under the laws of the State of Indiana on March 29, 1966, and was in existence or authorized to transact business in,the State of Indiana on November 28, 2017. I further certifiy this Domestic For -Profit Corporation has filed its most recent report required by Indiana law with the Secretary of State, or is not yet required to file such report, and that no notice of withdrawal, dissolution, or expiration has been filed or taken place. In Witness Whereof, I have caused to be affixed my signature and the seal of the State of Indiana, at the City of Indianapolis, November 28, 2017 CONNIE LAWSON SECRETARY OF STATE 194484-057 / 201746030S Verify this certificate:https://bsd.sos.in.gov/ValidateCertificate CERTI FICATE OF QUALIFICATION to provide CONSTRUCTION SERVICES for PUBLIC WORKS PROJECTS to the STATE OF INDIANA This Certification Board, having dtfly considered tipplicidion ]or qualificrilion in terms 0fripfMiTC11t CXIX-VienCC and fiflftlicild resom-co; and tinder the applicable firdiana Code 4- 13,64 and w1opled rifles of this Board, herd)), iss tics it Certificale ofQtialificntion to provide construction services to the State offfidinna lot Public Works projects [w WALSH & KELLY INC 1700 E MAIN ST GRIFFITH IN 46319 Phone 219-924-5900 Fax 219-924-8768 Company Official KEVIN KELLY for the twenty-seven 11101101 period staled herein, unless revoked by this Board for cause, Erna[ in the chissificalions of services stated below. This "i-tificatc stipurcedes any previous cerlificrile. 1611.01 Concrete Construction of Roads & Curbing 1611.02 Asphalt Construction of Roads and Parking Lots CERTIFICATION DATE 511212016 EXPIRATION DATE 811212017 THIS CEIRTIFICATI: ISSUED BY THI; STAI FOF lNDIANA, pUBLIC WORKS DIVISION CL11TWICATION BOARD, 402 WFST WASIIINUI'ON STRUT, ROOM W407, INDIANAPOLIS, INDIANA 46204, ALSO ACTS AST[IF OFFICIA1 NO'l 1(1: (,0 EXPIRATION. Tracy L. Cross, ExectitivSecretary Certification Board DAPVV P02 State Form 3903R Rev. 07M WRITTEN CONSENT TO RESOLUTIONS of the BOARD OF DIRECTORS of WALSH & KELLY, INC. The undersigned, being all of the Directors of WALSH & KELLY, INC., an Indiana Corporation, hereby consent to the following actions to be taken by the Corporation without a meeting of the Hoard of Directors under the applicable provisions of the Indiana Business Corporation Law, as amended: RESOLVED that the following be, and hereby are, elected officers of the Corporation, to hold the office until the next regular meeting of the Board of Directors and until their successors are duly elected and have qualified: Kevin J. Kelly, President and Chief Executive Officer Jeffrey L. Swart, Executive Vice President Jamie L. Tancos, Controller John M. Peisker, Vice President of Asphalt Operations David J. Misirly, Vice President Gregory A, Hoffman, Vice President John C. Wall, Vice President and EEO Officer J. Michael Schaum, Secretary and Treasurer, CFO RESOLVED FURTHER that the actions of the Officers of the Corporation taken since the last meeting of the Board of Directors be, and the same hereby are, fully ratified and approved. RESOLVED FURTHER that the following be, and they hereby are, authorized to execute all contracts or similar documents on behalf of the Corporation; Kevin J. Kelly, President and Chief Executive Officer Jeffrey L. Swan, Executive Vice President Jamie L. Tancos, Controller John M. Peisker, Vice President of Asphalt Operations David J. Misirly, Vice President Gregory A. Hoffman, Vice President Dustin P. Hilary, South Bend Area Manager Lynn J. Bauer, South Bend Operations Manager John C. Wall, Vice President and EEO Officer J. Michael Schaum, Secretary and Treasurer, CFO RESOLVED FURTHER that this consent shall be in lieu of an annual meeting of the Board of Directors of the Corporation and shall be filed in the minute book of the Corporation in place of any such annual minutes. <<SIGNATURES ON THE NEXT PAGE>> EXECUTED this 7"' day of March, 2017. Fred Fehsenfeld, Jr. Thomas P. Bertsch James C. Fehsenfeld John P. Vercruysse On --------------- Kevin J. Kelly a a EXECUTED this 711 day of March, 2017. 0 Fred Felisenfeld, Jr. Thomas P. Bertsch Kevin I Kelly iameC. Fehsenf4616 Walsh & GRIFFITH SOLITH BFh1D 1700 Fast Main Street 24358 State Road 23 Griffith, Indiana 46319 South Bend, Indiana 46614 04. Kelly —,Phone (219) 924-5900 Phone (574) 288-4811 Fax (219) 924-8768 Fax (574) 289-7174 www.waishkelly.com EQUAL EMPLOYMENT OPPORTIJNITY POLICY L It is the policy of this Company to assure that the applicants are employed, and that employees are treated during employment, without regard to their race, religion, sex, color, national origin, age, association with the Vietnam era or any other war, disability, genetic information, citizenship status, military status, veteran status, ancestry, or any other status protected under applicable law. Such action shall include: employment, upgrading, demotion, or transfer; recruitment or recruitment advertising; layoff or termination; rates of pay or other forms of compensation; and selection for training, including apprenticeship, pre -apprenticeship, and/or on the job training, A. The Contractor will work with the State highway Agency (SHA) and the Federal Government in carrying out EEO obligations and in their review of his/her activities under the contract. 11. Vice President of Business Development; John C. Wall, shall be designated as Walsh & Kelly, Inc.'s Equal Employment Officer. He will be responsible for all activities associated with the implementation of all policies affecting equal employment opportunity. M. Walsh & Kelly, Inc. assures nondiscriminatory recruitment by taking appropriate steps such as: A. Placing employment advertisements in newspapers which serve the largest. number of minority group people in the recruiting area. B. Recruiting through schools and vocational colleges having substantial proportions of minority students. C. Maintaining systematic contacts with minority and human relations organizations leaders referral of qualified minority applicants. D. Encourage present employees to refer minority applicants. E. Make it known to all recruitment sources that qualified minority members are being sought whenever there is hiring. IV. This policy is intended to comply with the Civil Rights Act of 1964, as amended, the Federal Highway Act of 1968, the Executive Order 11246 and 11375, the Rehabilitation Act of 1973, as amended, the Disabled Veterans and Vietnam Era Veterans Readjustment Act of 1974, as amended, the Indiana Civil Right Act, and other Federal and State Laws and Regulations pertaining to Equality of Opportunity and Affirmative Action Policies. V. Forms for filing any complaints are available in the office located at 1700 E. Main Street, Griffith, IN 46319. In addition, employees can call (219) 924-5900 to report any workplace concerns under this policy. WALSH & KELLY, INC. 0 I �4 John C. Wall, m Vice President of Business Deve)''W.' 14Siice �-° Revised: May 18, 2016®�g EQUAL OPPORTUNITY EMPLOYER iwDIAN*PO|S, IN M:arch30,2n17 11H who has filed with the Department a Contractor's Statement of Experience and Financial Condition as required under Indiana Code 8-23-10, is hereby qualified to bid at any Department of Transportation letting in Classes of Work and within the amount and other limitation of each classification, as listed below, for such period as the uncompleted work on hand from all sourres does not exceed the Aggregate amount. Classification references by name or symbol are In accordance with the definitions in the Contractor's Statement of Experience and Financial Condition. This certificate supersedes any certificate previously issued, but is subject to revision, or revocation according to the law, if and when changes in the financial condillon of the contracting firm or other facts justify such revision or revocation. AGGREGATE....... ............................................... --- ........ _-............. .~................ $mNLRmroaD m13) ... o(DmCozTE PAVEMENT: zownrEo..... .............................. .......... ........... ...... ..................... - $25,000,000 e(a) ASPHALT 9AvEmmamT�vm0mD0TCERTIFIED BmuA--- .................... .............................. ............ _$UvLIMITED C(B) UGgTumuuuNu-_............. .... ......................... -..-.................... _.... .......... ...... ----.... ..... $25J000,000 D(A) HIGHWAY OR RmIROeD BRIDGE ovzRWATER ................ ........... .......... .... -.....^--. $2,000,000 o03 HIGHWAY OR RAILROAD B0MEOVER oomHvo^y...................................... ......... -....... ............. m2,000,000 oyz opvY/RR BRIDGE 0sgRR TRACK nmonccoN........... ................... -__--_--......... _--_-- $2,0V0,00 B(H) 0mmUuL0T*UCTVRES AND DRAINAGE o7EMS........... ................... -......................... _-............. $25,000,000 E(F) SURFACE MASONRY AND MISC CONCRETE ... ................... ____.................................. -- $25,000,0$0 E(Q) CONCRETE PAVEMENT: REPAIRS _,,,.,... ....... _....... _............... .............. ....... _....................... $25,000,$00 E(R) ASPHALT PAVEMENT xmLLmuG---...... .............. ............ .................... -..... _-................ ............ $5'000,000 ---, P r REQUALIFICATION ENGINEER